DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Spicer, Samantha	DOIID	1012749	NAIC NPN	18915796

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	10/1/2018	3/31/2020
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	12/13/2018	3/31/2020
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	12/6/2018	3/31/2020
Inactive	Humana Insurance Company	301104	Agent - Health	10/29/2018	3/31/2020
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/22/2018	3/31/2020
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	4/4/2019	3/31/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	TZ Insurance Solutions LLC	727470	Agent - Health	11/12/2018	3/31/2020